tci Medicare Compliance & Reimbursement - 2004 Issue 12

Managed Care: Thanks, Taxpayers! What Health Plans Are Doing With Their Extra Medicare Pay

Plans creating larger networks, lowering premiums.Want to know how the playing field is shaping up for Medicare Advantage plans post-reform? A Feb. 27 review by the Centers for Medicare & Medicaid Services reveals that average premiums will shrink about $11 dollars (from $42.40 to $31.44) for millions of enrollees, while beneficiaires covered under some type of prescription drug benefit will rise a notch to 80 percent. According to the amended adjusted community rate proposals sent to CMS, here's how plans decided to share the extra money they'll receive under last year's Medicare reforms:42 percent of...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.